Provider Demographics
NPI:1982673893
Name:HOTELLING, HILLARY BROOKE (MD)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:BROOKE
Last Name:HOTELLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3834 NE SHAVER ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-1959
Mailing Address - Country:US
Mailing Address - Phone:503-335-9439
Mailing Address - Fax:
Practice Address - Street 1:5119 NE 57TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97218-2584
Practice Address - Country:US
Practice Address - Phone:503-215-8050
Practice Address - Fax:503-215-8082
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR18964207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine